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Power for Good Co-operative Limited

Community Share Offer

5 May - 5 August 2015

Your invitation to invest in Power for Good – a Community Benefit Society that works to install solar photovoltaic panels on places of worship and their associated buildings

invest in the development of renewable energy

support a scheme to reduce CO2 emissions

reduce energy bills in places of worship

help the local economy by investing locally

earn a modest return on investment

Supported by:

Power for Good Co-operative Limited is registered in England as a

Community Benefit Society Registration number 31738R

Registered office 3 Roxburgh Road, Sutton Coldfield B73 6LD

Tel 0121 241 5830 Email info@pfg.coop Website www.pfg.coop

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Dear Future Member,

Power for Good (PfG) has been set up by people from different faith communities who share a common

understanding of the need to live within our means, both as individuals and collectively. The website One

Planet Living states:

“If everyone in the world lived like an average European, we would need three planets to live on.”

And one of its guiding principles is that:

“Our climate is changing because of human-induced build-up of CO2 in the atmosphere”

This principle is supported by the scientific evidence accumulated by The Intergovernmental Panel on

Climate Change (IPCC), who commend renewable energy generation as having great potential for

enabling us to continue to enjoy all the benefits that electricity gives to us, while bringing a halt to further

greenhouse gas emissions. Furthermore, they describe other gains we might expect from renewable

energy generation:

“As well as having a large potential to mitigate climate change, renewable energy can provide

wider benefits. Renewable energy may, if implemented properly, contribute to social and

economic development, energy access, a secure energy supply, and reducing negative

impacts on the environment and health”

IPCC ‘Renewable Energy sources and Climate Change Mitigation’

Sharing this positive vision, PfG seeks to promote public discourse on renewable energy and to enable

practical action through the installation of photovoltaic panels on places of worship and their associated

buildings.

We seek to create a sustainable, ethical business in which people of faith, and others, can invest to

protect the environment and probably earn a modest return.

We hope you will join us in this exciting venture!

Best wishes,

The Directors of PfG

The directors of Power for Good Co-operative Limited are responsible for this document. They

have exercised due care in its preparation and vouch that the information it contains accords

with the facts and that there are no omissions which are likely to affect its import.

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OUR PILOT PROJECT

Solar PV systems on two West Midlands churches

The purpose of this Community Share Offer is to raise finance for Power for Good’s pilot project, involving

the installation of solar photovoltaic (PV) systems on churches in the West Midlands. The two churches - St

Richard’s in Kitts Green, Birmingham, and St Andrew’s in West Bromwich - have been selected because

they are in regular daytime use for a wide range of community purposes, as well as offering suitable sites

for the installation of solar PV.

Our proposed host sites are:

St Andrew’s West Bromwich (Diocese of

Lichfield) whose congregation is a partnership

between the Church of England and the

Methodist Church. It is used by a number of

community groups as well as the local

congregation. Its large pitched roof can

accommodate a solar PV system with a peak

capacity of 19.5 kWp.

St Richard’s Kitts Green (Diocese of

Birmingham) is a busy building, open every day

of the week as a local meeting place for a

nursery and other community groups. Their

rooms are in increasing demand as other

nearby facilities are being closed. The flat roof

can accommodate a 9.88 kWp solar PV

system mounted on A-frames.

Structural surveys have been carried out at both sites and formal consents for the installation of solar PV

have been obtained from the relevant diocesan authorities. Rent-free leases have been agreed in

principle for the use of the roof spaces and will be signed before the installation of the panels.

How much we need to raise

Our target is to raise £42,000 by 5th August 2015. This would allow us to proceed with the installations on

both of the churches, well before the deadline of 11th November, a deadline we must meet in order to

qualify for the rate of Feed-in tariff that we have pre- registered for (see page 5 below). The latest date

on which we can place the orders for the installations is 30th September, as sufficient time has to be

allowed for the installations taking into account such contingencies as delivery times, delays due to poor

weather, and time to put all the paperwork in place for registration with Ofgem for the Feed-in tariff.

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When the share offer closes, one of the following outcomes will have been achieved:

1. We will have raised sufficient funding for both installations

2. We will have raised sufficient funding to proceed with St Andrews’ only (the larger project)

3. We will have raised sufficient funding to proceed with St Richard’s only (the smaller project)

4. We will have failed to raise sufficient funding for either project.

There are various milestones along the route, and as they are met, certain actions will be open to us, as

shown in the table below:

Less than £12,235 by 5th August Insufficient interest in

investing.

Cancel the projects.

£12,235 by 5th August 80% cost of St

Richard’s - evidence

of sufficient interest to

continue.

Extend the share offer to 30th

September. If we fail to raise £15,294

by 30th Sept, cancel the projects.

£15,294 by 5th August Full cost of St Richard’s Extend the share offer to 30th Sept. If

less than £20,980 received by 30th Sept

place the order for the panels on St

Richard’s, and cancel St Andrew’s.

£20,980 80% cost of St

Andrew’s

Place the order for the panels on St

Andrew’s as soon as this milestone is

reached, and continue the search for

potential shareholders.

£26,225 Full cost of St

Andrew’s

Pay the balance on the St Andrew’s

installation once the work is

completed to good standard and

extend the share offer to 30th Sept. If

we fail to reach £38,460 by 30th Sept

we will cancel the project at St

Richard’s.

£38,460 Full cost of St

Andrew’s plus 80% of

St Richard’s

Pay the balance on the St Andrew’s

installation once the work is

completed to a good standard and

place the order for St Richard’s.

Continue the search for potential

shareholders.

£42,000 Full cost of installations

on both churches

Close the share offer and pay the

balance owed for both installations

when the work is completed.

We are optimistic that our £42,000 target will be achieved and that we will be able to install the full

capacity proposed at St Andrew’s and St Richard’s. Pledges have already been received from PfG’s

directors, who between them will invest £5,750 on the launch of the Community Share Offer. We also

have a promise of a £1,000 investment from St Andrew’s DCC.

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The fundraising target does not include VAT, which will be charged at 20%. As PfG is registered for VAT, it

expects to reclaim this within about six months after completion and has secured interest-free loans for

this purpose, which will be repaid as soon as the VAT is recovered.

Expected benefits

Taken together, the solar PV systems at St Andrew’s and St Richard’s are expected to produce some

23,635 kilowatt hours (kWh) of electricity in a full year, made up of 15,560 kWh from St Andrew’s and

8,075kWh from the smaller system at St Richard’s. According to the Energy Saving Trust, one kilogram of

carbon dioxide is saved for every 0.48kWh of electricity of locally-produced renewable energy. If both

systems are installed, there will be a total CO2 saving of some 10.5 tonnes a year throughout their

operating lives.

All electricity generated at St Andrew’s and St Richard’s will be available, free of charge, for use in the

host buildings. Both buildings are in regular daytime use for community purposes, such as

childrens’groups, drop-in centres and support activities for the young, the elderly and the excluded. Free

electricity will help make these services more sustainable, both financially and environmentally.

Additionally, the installation of solar PV on prominent community buildings will help to raise awareness of

climate change and promote discussion on local responses.

The Feed-in Tariff

The Feed-in Tariff (FiT) scheme was introduced by the UK Government in 2010 as a means of encouraging

investment in renewable energy by providing guaranteed payments for electricity from renewable

sources. FiT payments consist of two components:

generation payments, in pence per kWh for all electricity generated, including electricity used within

the host building

export payments, also in pence per kWh, for surplus electricity exported to the grid. In the case of St

Richard’s and St Andrew’s, 50% of all electricity generated will be deemed to flow to the grid.

Once the system has been registered for FiT, the rate of generation payments is fixed, subject only to

adjustment for inflation, for the duration of the FiT contract, which for solar PV, is 20 years.

In 2012, the government started to step down the FiT rates each quarter, but alongside this, they

introduced a system whereby recognised community enterprises could pre-register for FiT up to 12

months ahead of the expected completion date of their projects, in recognition that these schemes can

take a while to come to fruition. PfG has taken advantage of this to pre-register the proposed solar PV

systems at St Richard’s and St Andrew’s at the FiT rates in force in November 2014, but to qualify the

projects must be completed before 11 November 2015.

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If PfG meets the 11 November deadline, the starting level of FiT generation payment at St Andrew’s will

be 12.13p/kWh, while that for St Richard’s will be 13.03p/kWh. If both systems are installed, the total

annual income from FiT will be around £3,500. Annual income is expected to continue at about this level

throughout the 20 years of the FiT contracts, subject to annual adjustment for inflation.

Financial projections

The table on page 8 sets out the directors’ forecasts of PfG’s income and expenditure over the 20-year

term of assured income from FiT and takes into account the key factors summarised below. For further

information on the financial projections and the directors’ assessment of principal risks, please see the

Business Plan on PfG’s website at www.pfg.coop

Feed-in Tariff income

Assuming that solar PV systems are installed at both St Andrew’s and St Richard’s before 11 November

2015, the total annual income from FiT will be around £3,500, made up as follows:

Estimated

Year 1 output

kWh

FiT

generation

rate

p/kWh

FiT generation

payment

£

FiT export (50%

x 4.77p/kWh)

£

Total FiT

payments in

Year 1

£

St Andrew’s 15,561 12.13 1,888 371 2,259

St Richard’s 8,074 13.03 1,052 193 1,245

______

Total estimated FiT income for Year 1 3,504

Annual income is expected to continue at about this level throughout the 20 years of the FiT contracts for

the systems, subject only to annual adjustment for inflation.

Depreciation policy

The directors intend to depreciate PfG’s assets so as to write off the cost of each category of asset, less

its estimated residual value, over its useful economic life.

Although solar PV panels have a typical operating lifetime in excess of 25 years, a depreciation period of

20 years has been chosen to reflect the duration of the underlying FiT contracts. As the solar PV panels

will not be replaced at the end of their actual operating lives, the accumulated depreciation charges

will be used as a general reserve for the continuation and development of PfG’s activities and for the

future repayment of members’ share capital.

Inverters typically have an operating lifetime of 10 -15 years and PfG’s financial model therefore assumes

that each inverter will need to be replaced once during the 20-year term of the underlying FiT contracts.

Depreciation over 10 years will create a reserve which will be used to replace the inverters at the end of

their useful operating lives.

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Insurance and other project costs

The solar PV panels carry a manufacturer’s warranty of 12 years, and a performance warranty of 25 years.

Two years’ insurance for the complete system is included in the price of the panels, covering material

damage, interruption of service and reduction in yield. There is an option to extend this cover for further 8

years, at a one-off cost of £500 and we have budgeted for this from Year 2. Thereafter, £700 has been

allowed in Year 11. A further general contingency sum of £100 per annum has also been included in the

projections.

Corporation Tax

PfG is obliged to pay Corporation Tax on profits, but this will be mitigated by capital allowances based

on the value of its assets. As a result, the directors do not expect Corporation Tax to fall due before Year

15. Thereafter, the estimated total liability is £5,000 over the remaining years of the project.

Return on share capital

Return on share capital is planned at 2% payable annually after Year 3. The financial projections

therefore assume this payment from Year 4 to Year 20, but the actual timing and amount of payment will

remain at the discretion of the Board. There is a level of risk that is shared by all the members that the

actual performance might not, despite our best efforts, be as good as the projections suggest. Because

of this we believe that our offer will be Sharia–compliant.

Start-up loans

Directors and supporters have contributed a total of £5,750 in the form of interest-free loans towards

PfG’s start-up costs. At the beginning of the Community Share Offer, £2000 of this will be converted into

ordinary shares and will become eligible for payment of returns and share capital repayment on an

equal basis with all other ordinary shares. The remaining outstanding loans, totalling £3,750, will continue

on an interest-free basis for an indefinite term and will be repaid by instalments as PfG’s financial

resources allow.

Corporate overheads

These include all costs not directly attributable to the pilot project, including fees and subscriptions,

corporate insurance and other incidental expenditure. The directors are mindful that careful

management will be needed to ensure that PfG operates within the financial resources available.

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Financial projections

Year 1 2 3 4-10 11-20 1-20

Total FiT income (£) 3,504 3,566 3,629 27,283 45,322 83,304

Total depreciation (£) (2,340) (2,340) (2,340) (16,378) (23,398) (46,795)

Panel insurance and

other project costs (£)

(100)

(600)

(100)

(700)

(1,700)

(3,200)

Cost of return on share

capital (£)

(6,160)

(8,800)

(14,960)

______ ______ ______ ______ ______ ______

Surplus before tax (£) 1,064 626 1,189 4,045 11,424 18,349

Corporation tax (£) - - - - (5,000) (5,000)

______ ______ ______ ______ ______ ______

Closing cash (for

corporate overheads) (£)

1,064 626 1,189 4,045 6,424 13,349

WHO WE ARE

About Power for Good

Power for Good Co-operative Limited was incorporated in September 2012 as a Community Benefit

Society, a form of social enterprise which is similar in many respects to a co-operative.

As a Community Benefit Society, PfG:

is owned and democratically controlled by its members on the basis of one member, one vote

can offer its shares for sale to the public outside the regulations normally applicable to financial

promotions

exists to benefit the community by installing renewable energy measures in places of worship,

associated buildings and community buildings

can pay a modest return on its members’ investments

PfG is a corporate member of Co-operatives UK. It fully embraces the co-operative principles of self-help,

self-responsibility, democracy, equality, equity and solidarity and strives to uphold the ethical values of

honesty, openness, social responsibility and caring for others.

Meet the directors

PfG is led by its board of directors. The current directors, listed below, have many years’ experience of

work with faith groups from different traditions. They also have experience in managing the delivery of

building projects, and of involving community groups. Their motivation for this project stems from a desire

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to enable faith communities to become producers of electricity as well as consumers, contributing

practically to the reduction of carbon emissions and increasing public awareness.

Margaret Healey-Pollett (Chair) is a Founder-Member of PfG. She is a self-employed Domestic Energy

Assessor and a Green Deal Advisor, and has been interested in renewable energy for as long as she can

remember. She is greatly encouraged by the way it is now being developed and installed across the

country, especially by local community groups. Solar panels were installed on Margaret’s home in

September 2011. She belongs to All Saints Church in Kings Heath, where she secured loans from the

congregation for the installation of solar PV on their community building. She has previously worked as

an RE teacher, an Oxfam Shop manager, and in administration at the University of Birmingham

Chaplaincy. She is a graduate in Theology from the University of Bristol.

John Heywood (Company Secretary) is a Founder Director. Armed with a degree in classics, ancient

history & philosophy from Oxford University, John spent his working life in the tough realities of child care

social work. This reinforced his habits of caution and attention to detail, combined with patience and

optimism. A life-long interest in the natural world and thrifty use of resources has led him to believe that

climate change is the major threat to our world; and that it is worth tackling at all possible levels, winning

hearts and minds on the way. John is a member of the environmental group at his church in Sutton

Coldfield, and took the lead in securing the installation of 9Kw of solar panels in 2014 with tangible

benefits already evident to the congregation (and the treasurer). He also has solar PV panels on his

house. He continues to work with the Deanery and Diocese on a range of matters relating to climate

change.

Steve Lyne is a Founder Member of PfG. A retired quantity surveyor with 40 years’ experience, Steve has

a good understanding of building construction and civil engineering, and knows how the industry works.

He also maintains great interest in all modes of renewable energy generation, while focusing on solar PV

and keeping abreast of current developments. He is a member of a Transition Group in Sutton Coldfield,

is involved in a hydro scheme in a Birmingham park and is currently renovating his house to a low-carbon

standard.

Beryl Moppett is a graduate in Maths from London University, and a retired Maths teacher. She is a

Reader at St Helen’s Anglican Church in, Solihull. She first got involved in Green Theology after attending

a day’s seminar by A Rocha. Now she is the chair of the Solihull Big Green Group and for the last five

years has organised the Solihull Go Green Fair on behalf of the Solihull Faiths Forum. Beryl has had solar

PV panels on her home since 2010.

Rudy Smith (Treasurer) is a part certified accountant who gained early experience with KPMG and

Kalamazoo. Passionate about sport, particularly rugby, he developed and directed a series of sports

related businesses. For ten years he also ran Malvern Rugby Club. He is a member of SS Mary & Ambrose

Anglican Church, Edgbaston.

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John Wilkinson is a retired Anglican parish priest and former theological college tutor in Mission, Pastoral

Studies and Black Theology. He is active in peace and justice issues and has a particular concern for

combating climate change, the generation of energy from renewable sources and reducing the carbon

footprint of church communities. Solar panels were installed on his home in 2010. He belongs to St

Hilda’s Church, Warley Woods, in Smethwick.

All of the directors serve in a voluntary capacity and are unpaid.

From left to right: John Wilkinson, Margaret Healey-Pollett, Beryl Moppett, Rudy Smith, John Heywood, and Steve Lyne

Ensuring the organisational sustainability of PfG is a key objective of the current board, who wish to

encourage the participation of members in the activities of the Society, and to enlarge the board.

We are grateful for the support and advice we have received from:

the Co-operative Enterprise Hub, who have funded legal advice and provided business consultancy

services delivered by Coventry and Warwickshire Community Development Agency

Midcounties Co-operative, Anthony Collins Solicitors and the Anglican Diocese of Birmingham who

have each given free use of meeting rooms for our board Meetings

the Energy Mentoring Programme, through which we have received considerable practical advice

from Community Energy Warwickshire Limited

South Staffordshire Community Energy Limited

We are also very grateful for the following messages of support for PfG.

I am delighted that co-operatives such as Power for Good are beginning to emerge in

Birmingham. By offering finance and expertise for investment in renewable energy they help the

church to reduce its greenhouse gas emissions, contributing towards the [Church of England]

Shrinking the Footprint targets, and a better environment for all. I wish the co-operative, its clients

and investors every success.

Rt Rev David Urquhart

Anglican bishop of Birmingham

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I believe community energy co-operatives can bring diversity, resilience and security to the

energy market and can play an important part in helping to tackle fuel poverty by generating

and saving energy that is owned by local people. I also believe co-operative energy projects

have much to contribute to the UK's decarbonisation process by empowering communities who

want to generate their own clean energy.

Rt Hon John Spellar

Parliamentary Candidate for Warley and a local MP since 1982

YOUR INVITATION TO INVEST

Power for Good Co-operative Limited invites you to make an ethical investment in renewable and

sustainable energy with benefits for the community, the environment and you.

Benefits to the community

The host buildings for our pilot installations are in regular daytime use for community purposes. The

provision of free electricity will help make such services to the community more sustainable.

Benefits to the environment

Our pilot installations are expected to save up to 10.5 tonnes of emitted CO2 every year. Additionally, the

installation of solar PV on prominent community buildings will help to raise awareness of climate change

and promote discussion on local responses.

Benefits to you

Membership

By buying shares, you will become a member of PfG and will able to help to determine its future. Key

decisions, such as the election of directors, are taken at general meetings of members, where voting is

conducted democratically on the basis of one member, one vote. The next Annual General Meeting will

take place in Autumn 2015.

Return on your investment

PfG is permitted to pay a return on members’ investments, provided that the rate does not exceed 5% or

2% above the Co-operative Bank’s base rate, whichever is the greater. Consistent with this cap and with

PfG’s status as a start-up enterprise, the directors’ current expectation is that the return on share capital

will be paid at the rate of 2% per annum from Year 4 onwards.

Any payment will be paid gross and will be taxable. It will be members’ responsibility to declare this on

their self-assessment income tax returns.

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Income tax relief

We have applied to HM Revenue & Customs (HMRC) for advance assurance that shares purchased

through this share offer will be qualifying investments under the Seed Enterprise Investment Scheme (SEIS).

Advance assurance is not guaranteed and had not been confirmed at the date of issue of this

document. However, the directors believe that PfG meets all the criteria of the SEIS and have no reason

to believe that advance assurance will not be given.

The SEIS aims to encourage investment in small start-up enterprises by providing tax benefits to investors.

Benefits are available to individual UK taxpayers only and include income tax relief of 50% of the cost of

shares in qualifying enterprises. Assuming that advance assurance is given:

SEIS tax relief will be available only to the extent that your income tax liability is enough to cover it: for

example, if you invest £1,000, you can claim up to £500, but only if your tax bill for the year is equal to

or greater than that amount

to claim SEIS tax relief, you may need to submit a tax return if you do not already do so. If you are on

the PAYE tax system, you should take advice on this

we cannot guarantee that an individual investment will qualify for SEIS tax relief: you will need to

confirm this with HMRC when you submit your tax return

shares must be retained for at least three years from their date of issue or HMRC will withdraw income

tax relief

For more information on the SEIS, please visit HMRC’s website at www.hmrc.gov.uk/eis.

Your investment

Withdrawable share capital

PfG’s shares are non-transferable and cannot be bought and sold. If in future you want your money

back, you will need to apply to withdraw your shares.

Under PfG’s Rules, members can apply to withdraw their share capital by giving three months' notice.

However, except in the case of the death or bankruptcy of a member, the directors have absolute

discretion to refuse applications if, in their view, withdrawal of share capital would jeopardise PfG’s

financial stability. You should therefore be aware that:

you might not be able to withdraw your share capital if PfG does not have sufficient funds

you will never receive more than the amount you originally paid for your shares

you might get back less than you originally paid for your shares. The directors have power to write

down the value of PfG’s shares if its liabilities, plus share capital, exceed the value of its assets. If you

withdraw your share capital after a write-down in value, you will only receive the new, lower, value

Leaving your shares to someone else

As a general rule, withdrawable shares such as those issued by PfG cannot be transferred from one

person to another. As a result, if a member dies, their share capital must be withdrawn and repaid to

their estate. An exception to this rule is possible under the Co-operative and Community Benefit Societies

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Act 2014, which provides that withdrawable shares up to the value of £5,000 can be transferred to

another person after a member’s death, on condition that the member has given formal instructions to

this effect.

If you want PfG to retain the use of your share capital in the event of your death, you can nominate

another person to manage your shares by completing the nomination form by requesting a form from

the secretary at the registered office. If you change your mind about what you want to happen to your

shares, you can change or cancel your instructions at any time by contacting us.

Statutory asset lock

PfG’s Rules contain a statutory asset lock which prohibits the distribution of residual assets to members in

the event of dissolution or winding-up. After outstanding debts have been paid, members will be repaid

up to the value of their shares. Any remaining assets will then be transferred to an asset-locked body

such as another Community Benefit Society, a charity or a Community Interest Company.

The risks you face

PfG’s object is to create social dividends rather than to maximise financial returns to investors. If you are

seeking returns comparable to those on speculative commercial investments, you should not buy PfG

shares.

Should PfG get into financial difficulties:

we may not be able to pay a return on your shares

we may suspend your rights to withdraw shares

we may have to reduce the value of your shares

you may lose all the money you pay for shares

The directors are committed to the prudent financial management of PfG’s affairs. However, you should

buy shares only with money you can afford to have tied up, without the prospect of any increase in

value, for several years or longer.

Regulation and investor protection

As a Community Benefit Society, PfG is subject to different legislation and regulation from companies.

This Community Share Offer is not regulated by the Financial Conduct Authority and this share offer

document is exempt from the Prospectus Regulations 2005. If you buy shares in PfG and things go wrong,

you will not be able to complain to the Financial Ombudsman Service or apply for compensation from

the Financial Services Compensation Scheme.

PfG does not need to be authorised by the Financial Conduct Authority to accept deposits in the form of

withdrawable share capital. As a result, the money you pay for your shares is not safeguarded by any

depositor protection or dispute resolution scheme.

HOW TO JOIN US

Membership of PfG is open to individuals over the age of 16 and to corporate bodies, voluntary

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organisations and public sector investors.

Minimum and maximum shareholdings

The minimum shareholding is £250. For investors other than co-operative and community benefit societies,

the maximum shareholding is limited by law to £100,000 but this exceeds the amount we are seeking to

raise. In order to achieve a broad spread of members, it is unlikely that the directors will accept a

shareholding that is more than £10,000.

How to apply for shares

You can apply for shares by completing the application form accompanying this document and

returning it to the registered office with your payment. You may also scan the form and send it to

info@pfg.coop Payments may be made by cheque, BACS transfer, or cash. (Do not send cash through

the post). When we receive your completed application form, we will send you an acknowledgement.

Your banked money will be held on trust for you until we have considered your application. If we decide

to issue shares to you, the money will belong to PfG and will no longer be held on trust. Applications

cannot be withdrawn once submitted.

Applications will be considered at the earliest convenient meeting of directors after receipt. Please note

that you will not necessarily receive the number of shares you apply for. Shares will be allotted on a first-

come, first-served basis, so if this share offer is over-subscribed, we may need to scale down or refuse

your application. In either case, we will return any money due to you within 28 days of the meeting at

which your application is considered. We will also return your money if this share offer fails to meet its

target or is withdrawn. For whatever reason we return money to you, we will not pay you any interest.

Conditions of application

When you apply for shares, you promise us that:

you have sufficient funds in your account to pay for your shares

if you are signing on behalf of another person or organisation, you have the authority to sign the

application form and will provide us with evidence of your authority if we ask for it

you will provide us with proof of identity and address if we need it, for example to comply with the

Money Laundering Regulations

if you are not a UK resident, you take responsibility for ensuring that your application and share

ownership comply with laws and regulations to which you are subject outside the UK.

Communications

Please keep us informed of your preferences for receiving information from us – email or post - and

update us with any changes to your addresses. N.B. Email saves money and energy!

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APPLICATION FORM Power for Good Co-operative Limited

Share Issue 2015

Please use BLOCK CAPITALS AND BLACK INK

I/We wish to invest a total of

(minimum £250)

in Power for Good Co-operative Ltd under the terms of the Share Offer.

Application from Individual

Surname

Forenames

Address

Town/City

Postcode

Telephone

Email

Tick here if you are a UK taxpayer and wish to claim SEIS income tax relief on

your share purchase (see p 12 of the share offer document)

Application from Organisation

Organisation Name

Organisiation Type Registered

Number

Registered Number

Address

Town/City Postcode

Name of Authorised

Signatory

Office held

Please turn over to sign the form

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Declaration I confirm that:

1. I am over 16 and meet the offer eligibility criteria (see p 13).

2. I agree to be bound by the conditions of application set out on page 14 of the share offer

document, and by the rules of Power for Good Co-operative Limited.

3. I shall provide all additional documentation requested by Power for Good concerning this

application, including in connection with money laundering regulation, taxation or other regulations.

4. I understand that the directors of Power for Good may reject my application and do not have to tell

me the reason why.

5. If there is a cheque accompanying this application . I understand that it will be presented for

payment upon receipt and I warrant that it will be paid on in full on first presentation.

Signature of

applicant/authorised

signatory of an

organisation

Date

Data Protection PfG promises that the personal information you provide on this form will be stored

securely and only used for the purposes of Power for Good Co-operative Limited. It will not be disclosed

to any third party.

Payment

Please tick one of the boxes to show your intended method of payment:

Cheques or banker’s drafts: Please make these out to ‘Power for Good Co-operative Limited’

BACS: Please use the numbers 089299 65615472 and give your name as the reference.

Please send your payment and completed application form by 5th August to

Power for Good Co-operative Limited,3 Roxburgh Rd, Sutton Coldfield, B73 6LD

Or scan it and email to info@pfg.coop

If you have any problems with this form, please contact us at info@pfg.coop, or phone John Heywood

on 0121 241 5830.

Thank you for supporting Power for Good!

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